Individual
JENIFER LUNA FANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MCN, RDN, LD
Contact information
Practice address
3417 GASTON AVE STE 965, DALLAS, TX 75246-2036
(972) 817-6050
Mailing address
3417 GASTON AVE STE 965, DALLAS, TX 75246-2036
(972) 817-6050
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86198088
TX
Other
Enumeration date
02/01/2022
Last updated
02/01/2022
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